Within the context of structural theories this paper examines what health professionals say about their clinical service structures. We firstly trace various conceptual perspectives on clinical service structures, discussing multiple theoretical axes. These theories question whether clinical service structures represent either superficial or more profound changes in hospitals. We secondly explore which view is supported though a content analysis of the free text responses of 111 health professionals (44 doctors, 45 nurses and 22 allied health practitioners) about their clinical service (...) structures in a questionnaire survey in two large hospitals that had implemented clinical service structures three years previously. Commentaries unfavourable toward clinical service structures were made by 47.7% of staff, favourable by 24.3%, mixed (both favourable and unfavourable) by 17.1% and non-evaluative statements were made by 10.8%. The most frequent criticisms were inefficient organisation of change (27%), poor management (24.3%), lack of cooperation between staff (15.9%) and failure to empower health practitioners (13.5%). All professions made more negative than positive evaluations of their clinical service structures but the ratio was highest for doctors and lowest for allied health. Ranking of nurses' and allied health staffs' specific evaluations were similar but both differed significantly from doctors.' Unfavourable or negative comments predominated, and change appears more superficial and less profound than advocates of structural contributions hope. Four types of belief systems about clinical service structures are apparent. Some study participants are disposed toward the status quo; others toward restructuring; yet others are team oriented; and a final group is tribally oriented. The implication of this paper for managers is that more work is needed if clinical service structures are to realise the promise of more multi-disciplinarity and less fragmentation across professional groups. For scholars, the implication is that marrying different theoretical frames with empirical data can serve to produce fresh perspectives and perhaps new insights. (shrink)

This article outlines the main tenets of affect theory and links these to Sloterdijk’s spherology. Where affect foregrounds prepersonal energies and posthuman impulses, spherology provides a lens for considering how humans congregate in constantly reconfiguring socialities in their pursuit of legitimacy and immunity. The article then explores the relevance of “affective spheres” for contemporary social science research. The article’s main argument here is that research of contemporary organisational and professional practices must increasingly be spherogenic, or seeking to build “affective spheres.” (...) The basis of this argument are the in situ complexity and fast-changing nature of practices, and the increasing challenges involved in objectifying or ‘freezing’, and analysing or dissecting such practices. The article draws for its case study on a video-reflexive project conducted in a U.S. health service. The article concludes that the notion of research as spherogenics counterbalances the conventional methodological emphasis on a predetermined stance —whether neutral or political—in our construction and enactment of social science research. (shrink)

Reforms associated with New Public Management have led to changes in the management of work and organization that challenge the stability, durability and linearity of the managerial hierarchy in contemporary public sector workplaces. Against this background, this article considers the ways in which two clinician-managers who work in a large metropolitan teaching hospital speak about their organizational roles. Reflecting the complexity of their part of the organization, the emergency department, the interviewees position themselves as operating at the interstice between the (...) competing and contradictory spatial logics of locality and mobility. With their identities strongly anchored in emergency as locality, the clinician-managers intervene in the flows of meanings and resources that affect its processes in ways that require intra- and inter-organizational mobility and which are incommensurate with traditional perceptions of middle managers. In regarding the interviews as `practical authoring', we note our own spatial ambiguity as academic researchers interested in organizations other than our own and suggest that our insider-outsider positionings are reflected in the interviews' complex spatialities. We conclude that the interviewees' boundary-spanning and cross-spatial self-positionings are indicative of the hybrid roles that workers under NPM increasingly embody and are in contrast to traditional perceptions of how the provision and management of public service work is carried out. (shrink)

Drawing on work done in the area of health services research, this article outlines a view of discourse analysis that approaches discourse as a co-accomplished process involving researcher and research-participant. Without losing sight of the analytical-critical-reflexive moments that have typified discourse analytical endeavours, this article explores a form of DA that moves from discourse as object to be collected and processed away from where it is practised, towards discourse as dynamically emerging reality shared by practitioner-participants and researchers, and as flexible (...) means to intervene in the quality and safety of care practices. The article begins with highlighting the productive potential of discourse research in health. The ethics informing this mode of DA, the article goes on to explain, is interested and trustful ‘entanglement’ with those who populate this field of practice and structure it with discourse. Elsewhere referred to as ‘experience-based enquiry’, the initiative to reframe discourse research as a mode of intervention involves keeping practitioners’ interpretations and analysts’ questions, critiques and conclusions in tension. The article argues that this approach capitalizes on the intrinsically reflexive, dialogic and emergent nature of discourse. To illustrate these issues, the article presents two case studies drawn from recent projects that have manifested these researcher and practitioner-participant dynamics. The article concludes that, as emergent practice, the analysis of discourse benefits from entanglement with the people and the contexts where discourse is produced. Here, analysis vacillates between a feedback device that enables both research participants and researchers to re-appraise their and each other’s practices, and a knowledge production device that generalizes about these practices and the changes to these practices that result from the research. (shrink)

Effective communication and interpersonal skills have long been recognized as fundamental to the delivery of quality health care. However, there is mounting evidence that the pressures of communication in high stress work areas such as hospital emergency departments present particular challenges to the delivery of quality care. A recent report on incident management in the Australian health care system cites the main cause of critical incidents, as being poor and inadequate communication between clinicians and patients. This article presents research that (...) describes and analyses spoken interactions between health care practitioners and patients in one ED of a large, public teaching hospital in Sydney, Australia. The research aimed to address the challenges and critical incidents caused by breakdowns in communication that occur between health practitioners and patients and by refining and extending knowledge of discourse structures, to identify ways in which health care practitioners can enhance their communicative practices thereby improving the quality of the patient journey through the ED. The research used a qualitative ethnographic approach combined with discourse analysis of audio-recorded interactions. Some key findings from the analysis of data are outlined including how the absence of information about processes, the pressure of time within the ED, divergent goals of clinicians and patients, the delivery of diagnoses and professional roles impact on patient experiences. Finally, the article presents an in-depth linguistic analysis on interpersonal and experiential patterns in the discursive practices of patients, nurses and doctors. (shrink)

The selectionist account of behavior is actually a focused discussion of operant selection. To this end, the authors essentially exclude stimuli from their analysis. This exclusion is inconsistent with the importance placed on environmental interaction in their general account. Further, this exclusion limits the generality of their account by missing important sources of stimulus-elicited behavior (e.g., classical conditioning).

Recent studies indicate that adapting common components of universal healing practices increases the effectiveness of multicultural therapies, especially incorporating initial and reformulated myths. The Socratic method, part of an original philosophical process directed toward therapeutic goals, has long been instrumental to many psychotherapies, but limited in application to dialectical discourse. Through a rediscovery and clarification of the original integrated Socratic-Platonic method inclusive of mythmaking as well as systematic questioning, the authors argue that this new, more comprehensive model provides a foundation (...) for increasing the effectiveness of multicultural psychotherapies. (shrink)

Beginning with de Sousa's question about how my position is related to that of "enactive" theorists, I spell out my emphasis on the unity of affective experience, and say more about my conception of the emotional "a priori." In response to Beisecker, I elaborate by way of a literary example on how a significant fact can exist without yet having 'registered' in one's emotional awareness, and on the basis of this I reject the claim that emotions constitute significance. Finally, prompted (...) by Gallegos, I elaborate on why, on my view, a valuable thing must have indeterminately many axiological qualities, and explain how a multifaceted world can ground a plurality of emotional standpoints. (shrink)

Summary of Knowing Emotions: Truthfulness and Recognition in Affective Experience.

There are three concerns regarding Rachlin's altruism model. First, proximal causal mechanisms such as those identified by cognitive neuroscientists and behavioral neuropharmacologists are not emphasized. Second, there is a lack of clear testable hypotheses. And third, extreme forms of altruism are emphasized rather than common forms. We focus on an overarching theme – proximal mechanisms of individual differences in altruism.

The model proposed by Redish et al. considers vulnerabilities within decision systems based on expectancy-value assumptions. Further understanding of processes leading to addiction can be gained by considering other inputs to decision-making, particularly affective associations with behaviors. This consideration suggests additional decision-making vulnerabilities that might explain addictive behaviors.

Corporate philanthropy describes the action when a corporation voluntarily donates a portion of its resources to a societal cause. Although the thought of philanthropy invokes feelings of altruism, there are many objectives for corporate giving beyond altruism. Meeting strategic corporate objectives can be an important if not primary goal of philanthropy. The purpose of this paper is to share insights from a strategic corporate philanthropic initiative aimed at increasing the pool of frontline customer contact employees who are performance-ready, while supporting (...) curriculum development and infrastructure improvement for selected university business programs, creating a win-win situation for the company and the universities. This paper will address three objectives. First, we will examine the evolution of strategic philanthropy from the traditional view to its current position as a strategic option. Second, we will address the recruitment of front line talent needs (customer facing jobs in sales, customer service, and marketing) based on the profit maximization model of strategic philanthropy. Finally, we will offer conclusions and issues for future research. (shrink)

Suicidal Thoughts is a compilation of some of the most moving and insightful writing accomplished on the topic of suicide. It presents the thoughts and experiences of fifteen writers who have contemplated suicide-some on a professional level, others on a personal level, and a few, both personally and professionally. Through this collection, the reader is able to bear witness to the struggle between life and death and to the devastating aftermath of suicide. Suicidal Thoughts provides readers with a better understanding (...) of the reasons why some individuals give serious consideration to killing themselves. (shrink)

The Philosophy of Matter is a journey in thinking through the material fate of the earth itself; its surfaces and undercurrrents, ecologies, environments and irreparable cracks. With figures such as Spinoza, Gilles Deleuze and Michel Serres as philosophical guides and writings on New Materialism, Posthumanism and Affect Theory as intellectual context, Rick Dolphijn proposes a radical rethinking of some of the basic themes of philosophy: subjectivity, materiality, body (both human and otherwise) and the act of living. This rethink is (...) a work of imagination and meditation in order to conceive of "another earth for another people". It is a homage to courageous thinking that dares to question the religious, capitalist and humanist realities of the day. A poetic philosophy of how to live in troubling times when even the earth beneath us feels unstable, Dolphijn offers a way to think about the world with depth, honesty and glimpses of hope. (shrink)

Learn the tips and tricks used by a top photographer in the digital photography industry in Rick Sammon's Top Digital Photography Secrets. Filled with beautiful photographs and the techniques Rick Sammon used to capture them, this book offers you motivation to capture stunning photographs and the tools and tricks you need to capture them. With more than 100 techniques for use behind the camera, this book will improve the camera skills of both amateur and experienced photographers. Additionally, this (...) book includes a chapter on post-production secrets, and a Rick Sammon DVD Guide lighting, camera, and digital photography basics. In this 1-hour DVD, Rick shows you how to get great photos using a variety of lighting sources, camera-specific techniques, and basic rules of photography. (shrink)

The emulation theory of representation is developed and explored as a framework that can revealingly synthesize a wide variety of representational functions of the brain. The framework is based on constructs from control theory (forward models) and signal processing (Kalman filters). The idea is that in addition to simply engaging with the body and environment, the brain constructs neural circuits that act as models of the body and environment. During overt sensorimotor engagement, these models are driven by efference copies in (...) parallel with the body and environment, in order to provide expectations of the sensory feedback, and to enhance and process sensory information. These models can also be run off-line in order to produce imagery, estimate outcomes of different actions, and evaluate and develop motor plans. The framework is initially developed within the context of motor control, where it has been shown that inner models running in parallel with the body can reduce the effects of feedback delay problems. The same mechanisms can account for motor imagery as the off-line driving of the emulator via efference copies. The framework is extended to account for visual imagery as the off-line driving of an emulator of the motor-visual loop. I also show how such systems can provide for amodal spatial imagery. Perception, including visual perception, results from such models being used to form expectations of, and to interpret, sensory input. I close by briefly outlining other cognitive functions that might also be synthesized within this framework, including reasoning, theory of mind phenomena, and language. Key Words: efference copies; emulation theory of representation; forward models; Kalman filters; motor control; motor imagery; perception; visual imagery. (shrink)

This study investigates the relations between narrative experiences and film enjoyment, and explores the possibility that transportability and perceived realism facilitate narrative experience and indirectly influence enjoyment. The study measured narrative experience and realism in three films from different genres. Results demonstrate that transportability, and both external realism and narrative realism positively influence at least one aspect of narrative experience, and that narrative experience in turn is a significant predictor for enjoyment.

In evolutionary medicine, researchers characterize some outcomes as evolutionary mismatch. Mismatch problems arise as the result of organisms living in environments to which they are poorly adapted, typically as the result of some rapid environmental change. Depression, anxiety, obesity, myopia, insomnia, breast cancer, dental problems, and numerous other negative health outcomes have all been characterized as mismatch problems. The exact nature of evolutionary mismatch itself is unclear, however. This leads to a lack of clarity about the sorts of problems that (...) evolutionary mismatch can actually explain. Resolving this challenge is important not only for the evolutionary health literature, but also because the notion of evolutionary mismatch involves central concepts in evolutionary biology: fitness, evolution in changing environments, and so forth. In this paper, I examine two characterizations of mismatch currently in the literature. I propose that we conceptualize mismatch as a relation between an optimal environment and an actual environment. Given an organism and its particular physiology, the optimal environment is the environment in which the organism’s fitness is maximized: in other words, the optimal environment is that in which the organism’s fitness is as high as it can possibly be. The actual environment is the environment in which the organism actually finds itself. To the extent that there is a discordance between the organism’s actual and optimal environments, there is an evolutionary mismatch. In the paper, I show that this account of mismatch gives us the right result when other accounts fail, and provides useful targets for investigation. (shrink)

Although several theories of online syntactic processing assume the parallel activation of multiple syntactic representations, evidence supporting simultaneous activation has been inconclusive. Here, the continuous and non‐ballistic properties of computer mouse movements are exploited, by recording their streaming x, y coordinates to procure evidence regarding parallel versus serial processing. Participants heard structurally ambiguous sentences while viewing scenes with properties either supporting or not supporting the difficult modifier interpretation. The curvatures of the elicited trajectories revealed both an effect of visual context (...) and graded competition between simultaneously active syntactic representations. The results are discussed in the context of 3 major groups of theories within the domain of sentence processing. (shrink)

I briefly sketch a notion of generic phenomenology, and what I call the wave-collapse illusion to the effect that transitions from generic to detailed phenomenology are not noticed as phenomenal changes. Change blindness and inattentional blindness can be analyzed as cases where certain things are phenomenally present, but generically so.

The Internet has become a normal and formative influence in the lives of emerging adults. Within this engagement, the consumption of sexualized content has become de rigueur. The regular use of pornographic materials has raised fundamental questions regarding online encounters vis-à-vis real encounters. Is an online engagement of sexually explicit materials simply a “virtual” experience or does it necessarily have a physical dimension? How are cyber-sexual encounters the same or different than physical ones? These issues call for an understanding of (...) the body and sexuality that extends into the cyber-based versions of the self. Spiritual formation efforts will increasingly need to take into account the online lives and interactions of people. To that end, understanding the interaction of the body and soul, when engaging an online sexually explicit image, is an important task of the church. This article will lay the groundwork for a biblical understanding of being human and being sexual within an online context. The goodness of the body will be addressed as well as an exploration of the ways sin affects the whole person, particularly through the engagement of pornography. Together, this discussion will better equip the church to continue to assist Christians in conforming their lives, online or offline, to the image of Christ. (shrink)

Emotion Review, Volume 14, Issue 4, Page 261-264, October 2022. According to Jean Moritz Müller's The world-directedness of emotional feeling, the reason why emotions do not apprehend or disclose value is that one cannot apprehend what one has already apprehended: the value in question, he claims, is apprehended prior to the emotional feeling. Emotions, then, should not be conceived as apprehending value since they already presuppose awareness of it. I can be acquainted with a fact without feeling aware of the (...) meaning it holds. Yet I argue that only an emotional reaction actually registers value or disvalue. My value-responsive concept of emotion is one that Müller rejects. Yet I contend that to recognize the loss of a beloved person, for instance, just is to feel the emotion of grief. (shrink)

b>: In this article I outline, apply, and defend a theory of natural representation. The main consequences of this theory are: i) representational status is a matter of how physical entities are used, and specifically is not a matter of causation, nomic relations with the intentional object, or information; ii) there are genuine (brain-)internal representations; iii) such representations are really representations, and not just farcical pseudo-representations, such as attractors, principal components, state-space partitions, or what-have-you;and iv) the theory allows us to (...) sharply distinguish those complex behaviors which are genuinely cognitive from those which are merely complex and adaptive. (shrink)

Groundhog Day (Harold Ramis, 1993) and Only Lovers Left Alive (Jim Jarmusch, 2013) are fantasy films that use the device of practical immortality in order to raise important philosophical questions about what constitutes a good life and to explore the nature of romantic love. Groundhog Day provides fairly conventional answers about how to live a good life by focusing on issues of spiritual redemption, selflessness, and developing one’s human potential. In contrast, Lovers provides a dark portrayal of a civilization on (...) the brink of extinction but offers a glimmer of hope for the future. The lifestyle and values of married vampires Adam and Eve represent an alternative vision of the core values needed to sustain a better world: greater reliance on human imagination, maintaining a sense of wonder and curiosity about the world, creating and appreciating works of art and living in harmony with the natural world. Both films also offer a perspective on the importance of romantic love in living a good life. Although these perspectives often diverge from one another, they do overlap in some interesting ways. The style of film criticism used in this paper is inspired by the film philosophy of Stanley Cavell. (shrink)

In Knowing Emotions, Furtak argues that it is only through the emotions that we can perceive meaning in life, and only by feeling emotions that we are able to recognize the value or significance of anything whatsoever. Our affective responses and dispositions therefore play a critical role in human existence, and their felt quality is intimately related to the awareness they provide.

Abstract In his discourses on ‘the lily of the field and the bird of the air,’ Kierkegaard presents faith as the best possible response to our precarious and uncertain condition, and as the ideal way to cope with the insecurities and concerns that his readers will recognize as common features of human existence. Reading these discourses together, we are introduced to the portrait of a potential believer who, like the ‘divinely appointed teachers’—the lily and the bird—succeeds in leading a life (...) that is full of care, but free of worry. Such a portrait, we claim, echoes Kierkegaard’s portrait of the knight of faith in Fear and Trembling . In this essay we suggest that faith, as characterized in the ‘lily and bird’ discourses, is a kind of existential trust that would allow us to overcome worry, while remaining wholeheartedly engaged in the finite realm of our cares and concerns. We claim that Kierkegaard’s goal in these discourses is not to belittle our earthly cares, but to invite us to develop a modified attitude toward all that we are susceptible to worry about. Content Type Journal Article Category Article Pages 1-19 DOI 10.1007/s11153-011-9322-5 Authors Sharon Krishek, Department of Philosophy, The Hebrew University of Jerusalem, Jerusalem, Israel Rick Anthony Furtak, Department of Philosophy, Colorado College, Colorado Springs, CO, USA Journal International Journal for Philosophy of Religion Online ISSN 1572-8684 Print ISSN 0020-7047. (shrink)

There is a definite challenge in the air regarding the pivotal notion of internal representation. This challenge is explicit in, e.g., van Gelder, 1995; Beer, 1995; Thelen & Smith, 1994; Wheeler, 1994; and elsewhere. We think it is a challenge that can be met and that (importantly) can be met by arguing from within a general framework that accepts many of the basic premises of the work (in new robotics and in dynamical systems theory) that motivates such scepticism in the (...) first place. Our strategy will be as follows. We begin (Section 1) by offering an account (an example and something close to a definition) of what we shall term Minimal Robust Representationalism (MRR). Sections 2 & 3 address some likely worries and questions about this notion. We end (Section 4) by making explicit the conditions under which, on our account, a science (e.g., robot- ics) may claim to be addressing cognitive phenomena. (shrink)

I argue against a growing radical trend in current theoretical cognitive science that moves from the premises of embedded cognition, embodied cognition, dynamical systems theory and/or situated robotics to conclusions either to the effect that the mind is not in the brain or that cognition does not require representation, or both. I unearth the considerations at the foundation of this view: Haugeland's bandwidth-component argument to the effect that the brain is not a component in cognitive activity, and arguments inspired by (...) dynamical systems theory and situated robotics to the effect that cognitive activity does not involve representations. Both of these strands depend not only on a shift of emphasis from higher cognitive functions to things like sensorimotor processes, but also depend on a certain understanding of how sensorimotor processes are implemented - as closed-loop control systems. I describe a much more sophisticated model of sensorimotor processing that is not only more powerful and robust than simple closed-loop control, but for which there is great evidence that it is implemented in the nervous system. The is the emulation theory of representation, according to which the brain constructs inner dynamical models, or emulators, of the body and environment which are used in parallel with the body and environment to enhance motor control and perception and to provide faster feedback during motor processes, and can be run off-line to produce imagery and evaluate sensorimotor counterfactuals. I then show that the emulation framework is immune to the radical arguments, and makes apparent why the brain is a component in the cognitive activity, and exactly what the representations are in sensorimotor control. (shrink)

b>: The problem of how physical systems, such as brains, come to represent themselves as subjects in an objective world is addressed. I develop an account of the requirements for this ability that draws on and refines work in a philosophical tradition that runs from Kant through Peter Strawson to Gareth Evans. The basic idea is that the ability to represent oneself as a subject in a world whose existence is independent of oneself involves the ability to represent space, and (...) in particular, to represent oneself as one object among others in an objective spatial realm. In parallel, I provide an account of how this ability, and the mechanisms that support it, are realized neurobiologically. This aspect of the article draws on, and refines, work done in the neurobiology and psychology of egocentric and allocentric spatial representation. (shrink)

It is the aim of work in theoretical cognitive science to produce good theories of what exactly cognition amounts to, preferably theories which not only provide a framework for fruitful empirical investigation, but which also shed light on cognitive activity itself, which help us to understand our place, as cognitive agents, in a complex causally determined physical universe. The most recent such framework to gain significant fame is the so-called dynamical approach to cognition. Explaining and exploring DST is the purpose (...) of the collection Mind as Motion: Explorations in the Dynamics of Cognition, edited by Robert Port and Timothy van Gelder. (shrink)

This brief commentary has three goals. The first is to argue that ‘‘framework debate’’ in cognitive science is unresolvable. The idea that one theory or framework can singly account for the vast complexity and variety of cognitive processes seems unlikely if not impossible. The second goal is a consequence of this: We should consider how the various theories on offer work together in diverse contexts of investigation. A final goal is to supply a brief review for readers who are compelled (...) by these points to explore existing literature on the topic. Despite this literature, pluralism has garnered very little attention from broader cognitive science. We end by briefly considering what it might mean for theoretical cognitive science. (shrink)

An attempt is made to defend a general approach to the spatial content of perception, an approach according to which perception is imbued with spatial content in virtue of certain kinds of connections between perceiving organism's sensory input and its behavioral output. The most important aspect of the defense involves clearly distinguishing two kinds of perceptuo-behavioral skills—the formation of dispositions, and a capacity for emulation. The former, the formation of dispositions, is argued to by the central pivot of spatial content. (...) I provide a neural information processing interpretation of what these dispositions amount to, and describe how dispositions, so understood, are an obvious implementation of Gareth Evans' proposal on the topic. Furthermore, I describe what sorts of contribution are made by emulation mechanisms, and I also describe exactly how the emulation framework differs from similar but distinct notions with which it is often unhelpfully confused, such as sensorimotor contingencies and forward models. (shrink)

A number of recent attempts to bridge Husserlian phenomenology of time consciousness and contemporary tools and results from cognitive science or computational neuroscience are described and critiqued. An alternate proposal is outlined that lacks the weaknesses of existing accounts.

I argue for a possible Buddhist theory of free will that combines Frankfurt's hierarchical analysis of meta-volitional/volitional accord with elements of the Buddhist eightfold path that prescribe that Buddhist aspirants cultivate meta-volitional wills that promote the mental freedom that culminates in enlightenment, as well as a causal/functional analysis of how Buddhist meditative methodology not only plausibly makes that possible, but in ways that may be applied to undermine Galen Strawson's impossibility argument, along with most of the other major arguments for (...) free will skepticism. (shrink)

The nature of temporal experience is typically explained in one of a small number of ways, most are versions of either retentionalism or extensionalism. After describing these, I make a distinction between two kinds of temporal character that could structure temporal experience: A-ish contents are those that present events as structured in past/present/future terms, and B-ish contents are those that present events as structured in earlier-than/later-than/simultaneous-with relations. There are a few exceptions, but most of the literature ignores this distinction, and (...) silently assumes temporal experience is A-ish. I then argue that temporal character is not scale invariant, but rather that temporal experience is A-ish at larger scales, and B-ish at smaller scales. I then point out that this scale non-invariance opens the possibility of hybrid views. I clarify my own view as a hybrid view, according to which temporal experience is B-ish at small scales – and at this scale my trajectory estimation model applies – but A-ish at larger scales, and at the larger scale my TEM does not apply. I then motivate this hybrid position by first defending it against arguments that have tried to show that the TEM is untenable. Since the hybrid view has TEM as its small-scale component, it must address this objection. I then put pressure on the main alternative account, extentionalism, by showing that its proponents have not adequately dealt with the problem of temporal illusions. The result is a new theory motivated by i) explaining its virtues, ii) showing that objections to it can be met, and iii) showing that objections to its main competitors have not been met. (shrink)

A community's abilities to promote health and maximize its response to public health threats require fulfillment of one of the four elements of public health legal preparedness, the capacity to effectively coordinate law-based efforts across different governmental jurisdictions, as well as across multiple sectors and disciplines. Government jurisdictions can be viewed “vertically” in that response efforts may entail coordination in the application of laws across multiple levels, including local, state, tribal, and federal governments, and even with international organizations. Coordination of (...) legal responses to public health emergencies also may involve a horizontal dimension comprising numerous and diverse sectors, such as public health, public and private health care, emergency management, education, law enforcement, the judiciary, and the military.Although responses to many acute health threats can implicate multiple jurisdictions and sectors, the jurisdictional and sectoral dimensions of legal preparedness are complex and may vary substantially by the nature of a threat, its geographic and geopolitical extent, and the operational response demanded. (shrink)

A community's abilities to promote health and maximize its response to public health threats require fulfillment of one of the four elements of public health legal preparedness, the capacity to effectively coordinate law-based efforts across different governmental jurisdictions, as well as across multiple sectors and disciplines. Government jurisdictions can be viewed “vertically” in that response efforts may entail coordination in the application of laws across multiple levels, including local, state, tribal, and federal governments, and even with international organizations. Coordination of (...) legal responses to public health emergencies also may involve a horizontal dimension comprising numerous and diverse sectors, such as public health, public and private health care, emergency management, education, law enforcement, the judiciary, and the military.Although responses to many acute health threats can implicate multiple jurisdictions and sectors, the jurisdictional and sectoral dimensions of legal preparedness are complex and may vary substantially by the nature of a threat, its geographic and geopolitical extent, and the operational response demanded. (shrink)